Inertactiv Stations:
1- Inguinoscrotal Swelling(photo given)
(a) What is this swelling called?
(b) What are THREE differential diagnosis?
(c) What are FOUR tests used to reach the diagnosis?
2- Two-way Folley's catheter(photo given)
(a) What is the specimen?
(b) What are the steps of insertion of this object?
Static Station:
3- Air under diaphragm ( X-ray given)
(a) What is the probable diagnosis?[Typhoid perforation]
(b) Name THREE definitive procedures which can be done on this patient during surgery?
(c) Which antibiotic should be started post operatively?
4- I.V cannula ( photo given)
(a) Identify this item?
(b) Name TWO sites at which it is commonly used.
(c) Name TWO indications for changing its site.
(d) Name ONE complication of its use.
5- Proctoscope (photo given)
(a) What is this instrument?
(b) For what procedure is it used?
(c) Write down ONE therapeutic indication for its use?
(d) Write down ONE diagnostic indication for its use?
(e) What should be the position of the patient during the procedure?
6- Three way Folley's catheter (photo given)
(a) What is this instrument?
(b) Name ONE emergency situation where it can be used?
(c) Give TWO post-operative indications for its usage?
7- X-ray of intestinal obstruction
(a) Name TWO initial steps in the management.
(b) What abdominal sign will warrant an immediate laprotomy?
(c) What clinical parameter can be observed to know the adequacy of fluid resuscitation?
(d) If at laprotomy there is a hard fixed ileocecal mass, name the surgical procedure which should be done?
8- A 25 years old male is brought to the emergency depatment because of unresponsiveness, somnolence and respiratory depression. His pupils are constricted bilaterally. A narcotic overdose is suspected. Arterial blood gases(ABGs) on room air are: pH= 7.25, PCO2=60 mmHg, HCO3= 26 mmol/litre
(a) What is the acid base diagnosis?
(b) How would you manage this patient?
9- A youg footballer sustained an injury to his knee. An X-ray was done showing the knee joint( Transverse fracture of patella)
(a) What injury has the patient sustained?
(b) What should be the appropriate definitive treatment?
(c) Name THREE post-operative complications that may occur.
10- An 18 year old motocyclist struck his head against an electric pole. He drove to a hospital emergency. Later on he became unconscious. The X-ray has been shown above(X-ray was given)
(a) What is the probable diagnosis?
(b) What clinical scoring should be done?
(c) What another important investigation shoulde be done?
(d) What definitive treatment should be done?
11- ?
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